If you know insurance verification, prior auths, and you’re not afraid of a denial, Nira Medical is hiring a Benefits and Authorizations Specialist to keep infusion patients covered and moving through care without delays. You’ll verify benefits, secure authorizations, calculate patient responsibility, and help patients find financial assistance when coverage gets tight.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations to help patients access medically necessary infusion services with clear coverage and authorization workflows.
Schedule
Remote
Full time
What You’ll Do
- Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
- Obtain authorizations and pre-certifications for infusion drugs and related services
- Support denial mitigation, including peer-to-peer reviews and appeals
- Maintain working knowledge of payer-specific infusion authorization requirements and state/federal coverage guidelines
- Calculate and communicate patient financial responsibility
- Assist patients with financial support by identifying assistance programs and enrolling in manufacturer copay programs
What You Need
- High school diploma or equivalent
- 2–3 years of medical insurance verification and prior authorization experience
- Knowledge of insurance terminology, plan types/structures, and approval types
- Experience with J-codes, CPT, and ICD-10
- Ability to review clinical documentation and understand medical terminology
- Strong organization, attention to detail, and ability to multitask in a fast-paced environment
- Solid critical thinking and decision-making skills
- Athena experience is a plus (not required)
Benefits
Not listed in the posting.
If you’ve done benefits + auth work before, this is a clean, practical lane: verify, secure, document, push denials back, and keep patients from getting stuck.
Happy Hunting,
~Two Chicks…